Beginning July 1, 2024, SafeRide Health will be supporting the Buckeye Health Plan Medicaid and Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) population with non-emergency medical transportation (NEMT) services. To ensure no interruptions for passengers and drivers utilizing the gas mileage reimbursement mode of transportation, please ensure drivers complete registration using the online application portal. If a ride is administered on or after July 1 without updated driver information on file, the driver will not be reimbursed.
Online Application Portal
BUCKEYE DRIVER REGISTRATION APPLICATION
Note: Button opens application portal in a new tab.
Claims and Information
The Gas Mileage Reimbursement (GMR) program helps members receive reimbursement for the actual miles they've driven. Please remember the following guidance for all GMR trips: 1) Submit one claim per trip that reflects the full round trip—even if a family member is accompanying you. Avoid submitting multiple separate claims for the same visit. 2) The point of origin for your GMR trip should match the passenger address listed in your SafeRide Health member profile for the first leg of the trip. If this needs to be updated, please contact SafeRide Member Services (855-955-7433). 3) Only submit claims for trips you have actually taken and for which you are requesting reimbursement.
To be reimbursed, all claims need to be filled out using the Gas Mileage Reimbursement form (PDF opens in a new tab). Please complete the form and send back to SafeRide Health via email or U.S. Postal Services mail.
If for any reason you are unable to complete the online registration process using the portal above or have questions, please reach out to us at buckeye_driver@saferidehealth.com or 866-531-0615 (TTY: 711) available 24 hours a day, seven days a week.
Other Forms
To have a Buckeye member who is a minor (14 - 17 years old) travel without an escort, please download and complete the Minor Consent form (PDF opens in a new tab).
Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.
Benefit Disclaimer: This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Buckeye Member Handbook.
BHP-MM-062724